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NPI Code Detail

MEDICARE: DARCIE J FREDDOLINO

MEDICARE: DARCIE J FREDDOLINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT 13628FL

General Provider Information

NPI Number : 1619292281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCIE J FREDDOLINO
Provider Business Mailing Address
First Line : 11906 GRANITE WOODS LOOP
Second Line :
City : VENICE
State : FL
Zip : 34292-4135
Country : US
Telephone Number : 941-493-2975
Fax Number :
Provider Business Practice Location Address
First Line : 3107 NE 40TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6413
Country : US
Telephone Number : 954-454-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2010
Last Update Date : 04/07/2010

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Directions to “ DARCIE J FREDDOLINO ” Practice Location

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